{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T17:06:22Z","timestamp":1789837582963,"version":"4.0.1"},"reference-count":2,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:00:00Z","timestamp":1789776000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>An 87\u2010year\u2010old man presented with chest pain and pericardial effusion two years after dual\u2010chamber implantable cardioverter\u2010defibrillator implantation. Computed tomography suggested delayed right atrial lead perforation, although the pacing threshold was initially unchanged. Five days later, the threshold increased from 0.875 to 2.0\u00a0V\/0.4\u00a0ms, raising concern for progression of the perforation. However, surgical exploration revealed hemorrhagic pericardial effusion without active bleeding and only minimal protrusion of the screw tip. The right atrial wall was reinforced with felt and sutured without lead extraction or repositioning. The pacing threshold subsequently returned to baseline, and no further lead intervention was required.<\/jats:p>","DOI":"10.1111\/pace.70440","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:39:03Z","timestamp":1789835943000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Delayed Right Atrial Lead Perforation: Discrepancy Between Preoperative Findings and Surgical Inspection"],"prefix":"10.1111","author":[{"given":"Noriyuki","family":"Kobayashi","sequence":"first","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4775-8914","authenticated-orcid":false,"given":"Yasuharu","family":"Matsunaga\u2010Lee","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9728-6524","authenticated-orcid":false,"given":"Yasuyuki","family":"Egami","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taichi","family":"Mukai","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayako","family":"Sugino","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaru","family":"Abe","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5781-3546","authenticated-orcid":false,"given":"Hiroaki","family":"Nohara","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syodai","family":"Kawanami","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0228-679X","authenticated-orcid":false,"given":"Naotaka","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4578-7700","authenticated-orcid":false,"given":"Masamichi","family":"Yano","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0309-7023","authenticated-orcid":false,"given":"Masami","family":"Nishino","sequence":"additional","affiliation":[{"name":"Division of Cardiology Osaka Rosai Hospital  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,19]]},"reference":[{"issue":"1","key":"e_1_2_7_2_1","first-page":"26","article-title":"Feasibility and Safety of Percutaneous Lead Revision for Subacute and Delayed Cardiac Device Lead Perforation","volume":"7","author":"Issa Z. F.","year":"2021","journal-title":"JACC: Clinical Electrophysiology"},{"issue":"1","key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1536\/ihj.19-326","article-title":"Percutaneous Simple Lead Traction is a Feasible and Effective Method for Right Ventricular Lead Perforations","volume":"61","author":"Mori H.","year":"2020","journal-title":"International Heart Journal"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70440","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70440","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70440","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:39:04Z","timestamp":1789835944000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70440"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,19]]},"references-count":2,"alternative-id":["10.1111\/pace.70440"],"URL":"https:\/\/doi.org\/10.1111\/pace.70440","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,19]]},"assertion":[{"value":"2026-08-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"pace.70440"}}